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Clinical Practice Goniometry > Upper Extremity Goniometry > Flashcards

Upper Extremity Goniometry Flashcards

1
Q

SHOULDER AND GH FLEXION

A

SHOULDER AND GH FLEXION

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2
Q

What is the testing position for both shoulder and GH flexion?

A
  • Supine, hook lying to flatten lumbar spine
  • Elbow extended
  • Neutral supination/pronation (palm facing body)
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3
Q

What is the mean ROM for shoulder complex flexion?

A

180°

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4
Q

What is the mean ROM for glenohumeral flexion?

A

115°

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5
Q

When testing for flexion of the shoulder complex, what do we stabilize and why?

A

Stabilize the thorax to prevent spinal extension

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6
Q

When testing for flexion of the GH what do we stabilize and why?

A

Stabilize the lateral border scapulae to prevent scapular posterior tilting, upward rotation, and elevation.

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7
Q

What is the end feel for both shoulder and GH flexion?

A

Both have a firm end feel

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8
Q

Alignment (shoulder and GH flexion):

  • What is the stationary arm?
  • What is the moving arm?
  • What is the fulcrum?
A
  • midaxillary line of thorax
  • humerus lateral epicondyle
  • greater tubercle
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9
Q

SHOULDER AND GH EXTENSION

A

SHOULDER AND GH EXTENSION

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10
Q

What is the testing position for both shoulder and GH extension?

A
  • Prone, face turned away
  • Slight elbow flexion
  • Neutral pronation/supination (palm facing body)
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11
Q

What is the mean ROM for shoulder complex flexion?

A

60°

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12
Q

What is the mean ROM for glenohumeral flexion?

A

20°

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13
Q

When testing for extension of the shoulder complex, what do we stabilize and why?

A

Stabilize the weight of trunk/table.

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14
Q

When testing for extension of the GH, what do we stabilize and why?

A

Stabilize at the inferior angle of the scapula to prevent scapular elevation and anterior tilting.

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15
Q

What is the end feel for both shoulder and GH extension?

A

Both have a firm end feel.

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16
Q

Alignment (shoulder and GH extension):

  • What is the stationary arm?
  • What is the moving arm?
  • What is the fulcrum?
A

SAME AS FLEXION

  • midaxillary line of thorax
  • humerus lateral epicondyle
  • greater tubercle
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17
Q

SHOULDER AND GH ABDUCTION

A

SHOULDER AND GH ABDUCTION

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18
Q

What is the testing position for both shoulder and GH abduction?

A
  • Supine
  • Arm in supination
  • Elbow extended
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19
Q

What is the mean ROM for shoulder complex abduction?

A

180°

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20
Q

What is the mean ROM for GH abduction?

A

120°-125°

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21
Q

When testing for abduction of the shoulder, what do we stabilize and why?

A

Stabilize the thorax to prevent lateral flexion of the spine.

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22
Q

When testing for abduction of the GH, what do we stabilize and why?

A

Stabilize the scapula to prevent scapular upward rotation and elevation.

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23
Q

What is the end feel for both shoulder and GH abduction?

A

Both have a firm end feel.

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24
Q

Alignment (shoulder and GH abduction):

  • What is the stationary arm?
  • What is the moving arm?
  • What is the fulcrum?
A
  • parallel to midline of sternum
  • medial epicondyle
  • acromial process
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25
Q

SHOULDER AND GH INTERNAL ROTATION

A

SHOULDER AND GH INTERNAL ROTATION

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26
Q

What is the testing position for both shoulder and GH internal rotation?

A
  • Supine
  • Shoulder in 90° of abduction
  • Neutral pronation/supination
  • Humerus supported by towel
27
Q

What is the mean ROM for shoulder complex internal rotation?

A

70°-90°

28
Q

What is the mean ROM for GH internal rotation?

A

50°

29
Q

When testing for internal rotation of the shoulder, what do we stabilize and why?

A

Stabilize at distal end of the humerus to prevent the shoulder from leaving 90° of abduction and flexion of the spine.

30
Q

When testing for internal rotation of the GH, what do we stabilize and why?

A

Stabilize at the distal humerus to prevent scapular anterior tilting and protraction.

31
Q

What is the end feel for both shoulder and GH internal rotation?

A

Both have a firm end feel.

32
Q

Alignment (shoulder and GH internal rotation):

  • What is the stationary arm?
  • What is the moving arm?
  • What is the fulcrum?
A
  • Perpendicular to the floor
  • Midline of ulna/styloid process
  • Olecranon
33
Q

SHOULDER AND GH EXTERNAL ROTATION

A

SHOULDER AND GH ROTATION

34
Q

What is the testing position for both shoulder and GH external rotation?

A

SAME AS INTERNAL ROTATION

  • Supine
  • Shoulder in 90° of abduction
  • Neutral pronation/supination
  • Humerus supported by towel
35
Q

What is the mean ROM for shoulder complex external rotation

A

90°

36
Q

What is the mean ROM for GH external rotation?

A

94°

37
Q

When testing for external rotation of the shoulder, what do we stabilize and why?

A

Stabilize distal humerus to prevent shoulder from leaving 90° abduction and extension of the spine.

38
Q

When testing for external rotation of the GH, what do we stabilize and why?

A

Stabilize at the distal humerus to prevent scapular posterior tilting and retraction.

39
Q

What is the end feel for both shoulder and GH external rotation?

A

Both have a firm end feel.

40
Q

Alignment (shoulder and GH external rotation):

  • What is the stationary arm?
  • What is the moving arm?
  • What is the fulcrum?
A
  • SAME AS INTERNAL ROTATION
  • Perpendicular to the floor
  • Midline of ulna/styloid process
  • Olecranon
41
Q

ELBOW FLEXION

A

ELBOW FLEXION

42
Q

What is the testing position for elbow flexion?

A
  • Supine
  • Neutral shoulder flexion/extension and ab/adduction
  • Place pad under distal humerus
  • Full supination
43
Q

What is the mean ROM for elbow flexion?

A

150°

44
Q

When testing for elbow flexion what do we stabilize and why?

A

Stabilize at the humerus to prevent shoulder flexion.

45
Q

What is the end feel for elbow flexion?

A

Usually soft but can be hard if there is minimal muscle bulk.

46
Q

Alingment (elbow flexion):

  • What is the stationary arm?
  • What is the moving arm?
  • What is the fulcrum?
A
  • midline of humerus
  • midline of radius
  • lateral epicondyle
47
Q

ELBOW EXTENSION

A

ELBOW EXTENSION

48
Q

What is the testing position for elbow extension?

A

SAME AS ELBOW FLEXION

  • Supine
  • Neutral shoulder flexion/extension and ab/adduction
  • Place pad under distal humerus
  • Full supination
49
Q

What is the mean ROM for elbow extension?

A

0°

50
Q

When testing for elbow extension, what do we stabilize and why?

A

Stabilize at the humerus to prevent medial rotation and abduction of the humerus.

51
Q

What is the end feel for elbow extension?

A

Hard

52
Q

Alignment (elbow extension):

  • What is the stationary arm?
  • What is the moving arm?
  • What is the fulcrum?
A

SAME AS ELBOW FLEXION

  • midline of humerus
  • midline of radius
  • lateral epicondyle
53
Q

PRONATION

A

PRONATION

54
Q

What is the testing position for supination?

A
  • Sitting
  • Neutral shoulder flexion/extension, ab/adduction, rotation
  • Elbow flexed 90°, forearm supported
  • Begin with thumb pointed towards ceiling
55
Q

What is the mean ROM for pronation?

A

80°

56
Q

When testing for pronation, what do we stabilize and why?

A

Stabilize at the distal end of the humerus to prevent medial rotation and abduction of shoulder

57
Q

What is the end feel for pronation?

A

Hard

58
Q

Alignment (pronation):

  • What is the stationary arm?
  • What is the moving arm?
  • What is the fulcrum?
A
  • Parallel to anterior midline of humerus
  • Across dorsal aspect of forearm just proximal to stylod processes
  • Medial to ulnar styloid process
59
Q

SUPINATION

A

SUPINATION

60
Q

What is the testing position for supination?

A

SAME AS PRONATION

  • Neutral shoulder flexion/extension, ab/adduction, rotation
  • Elbow flexed 90°, forearm supported
  • Begin with thumb pointed towards ceiling
61
Q

What is the mean ROM for supination?

A

80°

62
Q

When testing for supination, what do we stabilize and why?

A

Stabilize at distal end of humerus to prevent lateral rotation and adduction of the shoulder.

63
Q

What is the end feel for supination?

A

Firm

64
Q

Alignment (supination):

  • What is the stationary arm?
  • What is the moving arm?
  • What is the fulcrum?
A
  • Parallel to the anterior midline of the humerus
  • Across ventral aspect of forearm just proximal to styloid processes
  • Medial to ulnar styloid process

Clinical Practice Goniometry (3 decks)

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